ENDOVASCULAR AND SURGICAL TECHNIQUES: Endovascular Treatment of Vascular Emergencies and Complications Following Previous Vascular Surgery

Treatment of Femoral Pseudoaneurysms with Endograft in High-risk Patients

“…As we still favour the surgical approach in low risk patients and patients in which an endograft would sacrifice the superficial or profound femoral artery, 1,4 we initially restricted endovascular exclusion to patients classified as ASA III or IV, having a limited life expectancy. Since, a surgical approach in these patients was considered risky, we favoured an endovascular approach to relieve them from the worry of having a pulsatile mass in the groin.…”

“…To our knowledge, endovascular exclusion of femoral pseudoaneurysms has been reported in only three papers which dealt with a total of four patients, including the ruptured femoral para-anastomotic aneurysm in the present series. 1,2,4 In these studies, follow-up did not exceed 6 months, 1,2 or was not specified. 4 We followed our patients by ultrasound or CT-scan.…”

“…1,2,4 In these studies, follow-up did not exceed 6 months, 1,2 or was not specified. 4 We followed our patients by ultrasound or CT-scan. The need for technical examinations at regular intervals to monitor the occurrence of endoleaks represents a potential disadvantage for the patient, and can increase health care costs.…”

“…Endovascular repair of femoral pseudoaneurysms is less invasive, and fewer complications are described. 1,2,4…”

Hybrid Debranching-Endovascular Repair of Visceral Patch Aneurysm After Thoracoabdominal Aneurysm Repair

“…This is the first case report of its kind for this specific condition to our knowledge; however, a few others have described implementation of this method for similar conditions. Lundbom et al 11 have reported a patient who developed a pseudoaneurysm of the suprarenal aorta who had undergone replacement of a type III thoracoabdominal aortic aneurysm 10 years earlier. This patient underwent a hybrid procedure but died postoperatively, thought by the authors to be caused by visceral ischemia.…”